Retroperitoneum Flashcards
Contents of retroperitoneum?
Duodenum Pancreas Ascending colon Descending colon Kidney and ureters Supra renal glands Fat, fascist and fascial spaces Aorta and IVC Nervous tissue structures Lymphatics
Location of kidneys?
T12-L3
Superior pole of left kidney slightly higher than right kidney
Superior poles are more medial
What surrounds the capsule of the kidney?
Perinepheric/ perirenal fat
Internal structures of the kidney?
Renal hilum Renal sinus Renal pelvis Major calyces Minor calyces
Contents of the renal pedicle?
Ureter Renal artery Renal vein Nerves Lymphatics
Posterior relations of the kidney?
Thoracic diaphragm
Transversus abdominal
Quadratic lamborum
Psoas major
Anterior relations of right kidney
Right Supra renal glands Liver Second part Duodenum Colon Small intestine (jejunum)
Anterior relations of left kidney?
Left suprarenal gland
Spleen
Stomach left colic flexure and jejunum
Course of abdominal ureters?
Retroperitoneal
Decends anterior to psoas major across common iliac vessels and pelvic brim where it becomes the pelvic ureter
Constrictions of abdominal ureter
Ureteropelvic junction
Common iliac vessels
Pelvic brim
Variants of ureters
Duplex/double
Bifid
Ectopic ureter
Anterior branches of abdominal aorta?
Coeliac artery
Sup mesenteric artery
Inf mesenteric artery
Lateral branches of abdominal aorta?
Renal arteries
Middle suprarenal arteries
Testicular/ovarian arteries
Posterior branches of abdominal aorta?
Lumbar arteries
Median sacral artery
Tributaries of Inferior vena cava?
L and R common iliac veins 3rd and 4th lumbar veins Testicular/ ovarian veins L and R renal veins Azygos vein Right suprarenal vein R, middle and left hepatic veins
